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PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-5857 <br />SITE ADDRE S <br />; / � ! � c �e-�e /e� <br />LEGA LOT N0. BU <br />DESC. <br />OWNER <br />i��h�/ e� S�f� <br />TENANTNAME <br />CONTRACTOR Syn��se �U^ <br />PHONE36o - � q�- syr� <br />PROPOt'iED USE OF BUILDING <br />�`� -e m o <br />r <br />CONTRACT PRICE OF WORK <br />WORK DESCRIPTION <br />NO. I TYPE OF FIXTURE OR ITEM <br />WATER CLOSET (TOILET) <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISPOSAL <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICE/BAR/MOP/ETC.) <br />OTHER <br />PARCEL TAX I.D. # <br />l3vo�93Go <br />TRACT <br />CONTACT FOR PERMIT <br />J �e � <br />er lr'r, <br />C,i-inADDRESS�,c�IU/,y �SOJF�f/r[. <br />�-r li,. 5'/�r' � f,�//f. 9'��Z 3 <br />PERMIT <br />rrre <br />Building <br />Combination <br />Demolition <br />Sprinkler <br />PERMIT # <br />�9rsY�� <br />ZIP CONTR. LICENSE # <br />Sunri< q�yoQ <br />RMechanical HddiUon HEATSOURCE <br />�( Plumbing WORK Alteration R Electric <br />U Sign TYPE New �,f Gas <br />RepaidMaint. U Other <br />CITY OF EVERETT LOCAL SALES TAX CODF IS 3105 <br />N0. � TYPE OF FIXTURE OR ITEM <br />A/C -- A/HANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANGE HOOD <br />WATER HEATER <br />METAL FIREPLACE/STOVE <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXNAUSTFAN <br />OTHER <br />I HEREBY CERITIFV THAT I HAVE READ AND EXAM1IINED THIS APPLICATION AND KNOW TFIE SAME TO BE TRUE AND CORRECT. AlL <br />PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS NPE OF WORK 6VILL BE COM1IPLIED WITH WHETNER SPECIFIED HEREIN OR <br />i 10T. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br />STATE OR IOCAL W�V REGULATING CONSTRUCTION OR THE PERFORMAtJCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR 1NHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 1827 RCW AND 296.200 WAC. <br />DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br />